TMPPM 2008 > Provider Information > Claims Filing > Coding

   
 

5.3.1.1 Place of Service (POS) Coding

The POS identifies where services are performed. Indicate the POS by using the appropriate code for each service identified on the claim.

Important: Attention ambulance providers: POS 41 and 42 are accepted by the Texas Medicaid Program for ambulance claims processing. The two-digit origin and destination codes are still required for claims processing.

Use the following codes for POS identification where services are performed:

POS
2-Digit Numeric Codes (Electronic Billers)
1-Digit Numeric Codes
(Paper Billers)

Office

11, 15, 50, 60, 65, 71, 72

1

Home

12

2

Inpatient hospital

21, 51, 52, 55, 56, 61

3

Outpatient hospital

22, 23, 24, 62

5

Birthing center

25

7

Other location

03, 04, 05, 06, 07, 08, 26, 34, 41, 42, 53, 99

9

Skilled nursing facility, intermediate care facility, intermediate care facility for mentally retarded

31, 32, 54

4

Extended care facility (rest home, domiciliary or custodial care, nursing facility boarding home)

33

8

Independent lab

81

6

Destination of ambulance

Indicate destination using above codes

Indicate destination using above codes

Note: Family planning and THSteps medical services performed in an RHC are billed using national POS code 72.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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